Strategic Family Therapy – Flashcards
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Strategic Family Therapy
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a theory and model developed by Jay Haley and Chloe Madanes, with interventions that focus directly on changing the presenting problem. Therapy is not growth-oriented, but change-oriented, and the therapist takes responsibility for the success or failure of the outcome.
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Strategic Humanism
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Haley and Madanes's more recent model is oriented toward increasing family members' ability to soothe and love rather than to gain control over one another.
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Strategic Therapy Theorists
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Jay Haley/Chloe Madanes (Haley's concepts influenced by Erickson, Baetson and Minuchin)
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Strategic Therapy Concepts
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Hierarchy of the Family, Flexibility, Clear Rules, Symptoms are communicative acts embedded in a pattern of interactions
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Bio-Modal Feedback Mechanism
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(Strategic/Systemic) it's a rule bound mechanism by which a system remains unchanged so long as the internal or external environment is stable. If the environment changes, the system must respond in a new way
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Case-Specific Symptom Process
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a Strategic technique in which symptomatic or other undesirable behaviors are paradoxically encouraged in order to lessen such behaviors or bring it under conscious control
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Dramatization
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a Strategic (Madanes) technique in which a parent is directed to request that the Child intentionally Perform the problem Behavior. In this way, the symptom will not draw as much parental attention, and it no longer serves a purpose, it can be dropped.
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Directive
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a Strategic intervention in which a therapist Gives the family a Task with the intent of changing stuck sequences. (2 types; Straightforward and Indirect)
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Dysfunctional Hierarchy
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a Strategic concept where family decision-making structures do not allow the family to accomplish goals and meet the needs of the family members (i.e., Parents have Relinquished their Executive Function to their children).
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Family Rules
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a Strategic concept that points out the Rules that Governs Family members' behavior and promote specific reactions.
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Indirect Directive
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a Strategic Intervention that is Paradoxical. The therapist expects the family to resist the task (i.e., parents are asked to act as if it were impossible to take control of their child).
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Incongruous Hierarchy
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a Strategic/Madanes concept that shows a dysfunctional structure in which children use symptoms to try to change their parents.
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Initial Interview
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a therapy format associated with Haley in which the therapist conducts a structured interview consisting of four stages: social stage, problem stage, interactional stage, and goal-setting stage
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Make Believe Play
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a technique used by Madanes in which the parents are asked to make-believe they need the child's help and the child is to make-believe helping them. This reduces the need for covert symptomatic relationships. Parents often reassert to a superior position.
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Ordeal
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a Strategic therapy technique that is aimed at making the Symptom Harder to Keep than give up.
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Paradoxical Intervention
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A Strategic Therapy intervention that is build around a statement containing Message at different logical levels that Contradict each other. This contradiction is used to perturb the system and generate change. (i.e., person is asked to keep/intensify his depression. If he rebels, the symptom must be given up. If he complies, the system has come under his control)
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Pretending
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A Strategic (Madanes) paradoxical intervention where clients are instructed to Pretend they Have the Symptom. This causes the symptom to become voluntary, unreal and subject to change
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Prescribing the Symptom
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a paradoxical Strategic technique in which the therapist attempts to unbalance the family structure by instructing the members to Continue or Increase the Problem or symptomatic Behavior in order to bring the behavior under conscious control or lessen the behavior as the family rebels against the instruction.
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Reframing
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A Strategic Therapy technique in a which a therapist's Language and how he labels events Gives New, often positive, Meaning to a situation.
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Straightforward Directive
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Strategic Intervention that is Not Paradoxical and the therapist expects the family to carry out the task as given (i.e., parents are asked to take control of their misbehaving child)
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Therapeutic Paradox
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a Strategic Therapy intervention that entails Maneuvers that Appear to Contradict the Goals of therapy, yet are actually designed to achieve them
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Strategic Therapy Theory of Dysfunction
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The family hierarchy is disordered and needs to be reordered, Unsuccessful problem solving efforts, Inability to adjust to life-cycle transitions and Triangulations/Coalitions.
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Strategic Therapy Theory of Change and Treatment Plan
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Increase flexibility, Increase strategies for developmental and non-developmental change, Structural Reorganization (re-establish hierarchy), Eliminate triangles and coalitions, Resolve the Presenting Problem Only.
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Strategic Therapeutic Stance and Length
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Active and Deliberate. Joining with the family. The therapist is an observer. Brief (symptom relief)
